EAGLE ROCK MEDICAL CENTER LLC
NPI 1083372890
Physical Medicine & Rehabilitation in Idaho Falls, ID

Active since November 30, 2021
919 S UTAH AVE, IDAHO FALLS, ID 83402(208) 425-6020 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eagle Rock Medical Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAGLE ROCK MEDICAL CENTER LLC (NPI 1083372890) is a healthcare organization registered as a physical medicine & rehabilitation in Idaho Falls, Idaho and active in the NPI registry since November 2021. The organization lists Kendon Howard, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083372890
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NameEAGLE ROCK MEDICAL CENTER LLC
Location Address919 S UTAH AVEIdaho Falls, ID 83402-3322
Mailing Address919 S Utah AveIdaho Falls, ID 83402-3322 · (208) 425-6020
Organization SubpartNo
Authorized OfficialKendon HowardCeo · (208) 972-0420
Enumeration DateNovember 30, 2021
Last NPPES UpdateMarch 21, 2022
NPPES CertifiedMarch 21, 2022
✔ NPI 1083372890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
919 S UTAH AVE, Idaho Falls, ID 83402

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eagle Rock Medical Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Eagle Rock Medical Center LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Podiatry
NPI 1992093561
1555 E CLARK ST
Pocatello, ID 83201
(208) 233-4355
✔ PECOS✔ Accepts Medicare47 mi
Podiatry
NPI 1245216647
1555 E CLARK ST
Pocatello, ID 83201
(208) 233-4355
✔ PECOS✔ Accepts Medicare47 mi
Nurse Practitioner
NPI 1245292242
42121 US HWY 70
Portales, NM 88130
(575) 356-6652
✔ PECOS795 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eagle Rock Medical Center LLC's NPI number?

The NPI number for Eagle Rock Medical Center LLC is 1083372890. It was assigned to this organization in the NPPES registry on November 30, 2021.

Where is Eagle Rock Medical Center LLC located?

Eagle Rock Medical Center LLC is located at 919 S Utah Ave, Idaho Falls, ID 83402. The listed phone number is (208) 425-6020.

What is Eagle Rock Medical Center LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Eagle Rock Medical Center LLC enrolled in Medicare?

Yes. Eagle Rock Medical Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eagle Rock Medical Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Eagle Rock Medical Center LLC, in Nurse Practitioner and Podiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Eagle Rock Medical Center LLC accept?

Health plans from Molina Healthcare list Eagle Rock Medical Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eagle Rock Medical Center LLC was last updated on March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.